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BacTAlert Virtuo系统的实施对脓毒症患者血培养阳性时间的影响

Impact of Implementation of BacTAlert Virtuo on Blood Culture Time to Positivity in Sepsis Patients.

作者信息

Mazzulli Tony, Ratkov Dimitrije, Guglielmin Kristyn, Gandhi Bharat, Remington Richard, Birch Robert, Zimmer Louise, Garner Cherilyn D

机构信息

Department of Microbiology, University Health Network/Mount Sinai Hospital, Toronto, Ontario, Canada.

Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada.

出版信息

Microbiol Spectr. 2023 Feb 7;11(2):e0500322. doi: 10.1128/spectrum.05003-22.

DOI:10.1128/spectrum.05003-22
PMID:36749050
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10101113/
Abstract

Time to positivity (TTP) for blood culture bottles incubated in the BacT/Alert Virtuo instrument was compared to the BacT/Alert 3D. TTP was significantly shorter with the Virtuo (median 16.2 h) than 3D (median 21.1 h; 0.001). Switching from 3D to Virtuo significantly improved TTP in this multicenter hospital setting study. Sepsis affects millions of people around the world each year, and accounts for a significant number of deaths in hospital intensive care units (ICU). Timely diagnosis is key to decreasing morbidity and mortality. One important element of sepsis diagnosis is organism detection using blood cultures. In this study, we examined the impact of implementing the BacT/Alert Virtuo automated blood culture detection system on time to positivity in an ICU patient population at a multicenter hospital setting.

摘要

将在BacT/Alert Virtuo仪器中孵育的血培养瓶的阳性时间(TTP)与BacT/Alert 3D进行了比较。Virtuo的TTP(中位数16.2小时)明显短于3D(中位数21.1小时;P = 0.001)。在这项多中心医院环境研究中,从3D切换到Virtuo显著改善了TTP。脓毒症每年影响全球数百万人,并在医院重症监护病房(ICU)导致大量死亡。及时诊断是降低发病率和死亡率的关键。脓毒症诊断的一个重要要素是使用血培养进行病原体检测。在本研究中,我们在多中心医院环境下,研究了实施BacT/Alert Virtuo自动血培养检测系统对ICU患者群体阳性时间的影响。

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本文引用的文献

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Comparison of Microorganism Detection and Time to Positivity in Pediatric and Standard Media from Three Major Commercial Continuously Monitored Blood Culture Systems.三种主要商业连续监测血培养系统中儿科与标准培养基的微生物检测和阳性时间比较。
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Sepsis in Intensive Care Unit Patients: Worldwide Data From the Intensive Care over Nations Audit.重症监护病房患者的脓毒症:来自全球重症监护国家审计的数据分析
Open Forum Infect Dis. 2018 Nov 19;5(12):ofy313. doi: 10.1093/ofid/ofy313. eCollection 2018 Dec.
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Acta Clin Belg. 2018 Feb;73(1):16-20. doi: 10.1080/17843286.2017.1331618. Epub 2017 Jun 5.
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Multicenter Clinical Evaluation of BacT/Alert Virtuo Blood Culture System.BacT/Alert Virtuo血培养系统的多中心临床评估
J Clin Microbiol. 2017 Aug;55(8):2413-2421. doi: 10.1128/JCM.00307-17. Epub 2017 May 24.
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Duration of hypotension before initiation of effective antimicrobial therapy is the critical determinant of survival in human septic shock.在开始有效的抗菌治疗之前低血压的持续时间是人类感染性休克生存的关键决定因素。
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